Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE ANN CLARK, PHD
Active Sole ProprietorALICE ANN CLARK, PHD is a Clinical Psychologist healthcare provider located in WATERBURY, Vermont. NPI 1598813073 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WATERBURY, VT
Registration Details
- NPI Number
- 1598813073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2007 (19.558436185593 yrs)
- Last Updated
- Dec 1, 2010
- Licenses
-
7094 (MA)048.0057921 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 S MAIN STWATERBURY, VT, 056761556Browse VT providers · Browse ZIP 05676
- Phone
- 8025850297
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.